Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $3,078.00 / $10,893.00	Facility		$828.00	$3,078.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,388.00 / $1,664.43 / $2,590.44	Professional		$1,388.00	$1,664.43	$2,590.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,696.91 / $1,696.91 / $1,915.36	Professional		$1,696.91	$1,696.91	$1,915.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,326.10 / $9,391.66 / $18,364.59	Facility		$5,326.10	$9,391.66	$18,364.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,505.27 / $1,863.73 / $2,614.15	Professional		$1,505.27	$1,863.73	$2,614.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,458.60 / $8,083.18 / $8,083.18	Facility		$1,458.60	$8,083.18	$8,083.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,865.42 / $1,865.42 / $1,865.42	Facility		$1,865.42	$1,865.42	$1,865.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,601.94 / $2,187.23 / $3,380.37	Professional		$1,601.94	$2,187.23	$3,380.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $23,559.52	Facility		$55.00	$55.00	$23,559.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,850.64 / $12,090.08 / $14,134.35	Professional		$11,850.64	$12,090.08	$14,134.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,580.55 / $2,071.21 / $3,319.32	Facility		$1,580.55	$2,071.21	$3,319.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,896.37 / $2,425.02 / $3,007.02	Professional		$1,896.37	$2,425.02	$3,007.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,657.48 / $1,791.20 / $3,673.33	Professional		$1,657.48	$1,791.20	$3,673.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,585.18 / $2,077.63 / $3,350.28	Facility		$1,585.18	$2,077.63	$3,350.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,667.59 / $2,266.29 / $3,453.64	Professional		$1,667.59	$2,266.29	$3,453.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $8,142.00 / $16,982.00	Facility		$2,614.00	$8,142.00	$16,982.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,292.00 / $1,779.52 / $2,810.46	Professional		$1,292.00	$1,779.52	$2,810.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,379.79 / $1,569.97 / $2,173.34	Professional		$1,379.79	$1,569.97	$2,173.34